Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $162.41 / $424.46	Facility		$82.57	$162.41	$424.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $83.40 / $112.39	Professional		$82.57	$83.40	$112.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $191.14 / $381.38	Facility		$75.52	$191.14	$381.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $94.63 / $94.63	Professional		$94.63	$94.63	$94.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $82.42 / $499.01	Facility		$71.98	$82.42	$499.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $82.57 / $82.57	Facility		$77.90	$82.57	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $368.04 / $368.04	Facility		$109.85	$368.04	$368.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $118.09 / $543.72	Facility		$82.42	$118.09	$543.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $82.58 / $150.88	Professional		$61.82	$82.58	$150.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $82.57 / $119.26	Facility		$77.90	$82.57	$119.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $82.57 / $149.51	Professional		$77.95	$82.57	$149.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $83.36 / $111.48	Professional		$82.42	$83.36	$111.48